DR. WISSAM MOHAMED ELFALLAL (D.O) – Neurological Surgery Physician, NPI 1730594805

DR. WISSAM MOHAMED ELFALLAL (D.O) is a healthcare provider. based in Orlando, Florida. specializing in NEUROSURGERY. They hold the professional credentials D.O. They hold a License No. OS17401 (FL). The NPI Number for DR. WISSAM MOHAMED ELFALLAL (D.O) is 1730594805

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. WISSAM MOHAMED ELFALLAL (D.O)
NPI
1730594805
Phone
(386) 231-3249
Address
PO BOX 863381
Enumeration Date
26 June 2014
Last Update Date
18 August 2021

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3862316000
Graduation Year
2014 (12 years ago)
PAC ID
1153723846
Group Practice PAC ID
7012266836
Professional Enrollment ID
I20210719000979
Address ID
FL321175167DA301XXPKWY400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

241 NEUROSURGERY in MI

Provider Addresses for DR. WISSAM MOHAMED ELFALLAL (D.O)

  • PO BOX 863381

    ORLANDO, FL 328863381

    Phone: (386) 231-3249

    Fax: (386) 672-9904

    Type: Mailing

  • 6245 INKSTER RD

    GARDEN CITY, MI 48135

    Phone: (734) 458-4486

    Type: Mailing

  • 305 MEMORIAL MEDICAL PKWY STE 505

    DAYTONA BEACH, FL 321175170

    Phone: (386) 231-3540

    Fax: (386) 231-3544

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $2,129.

Total Amount is formed as General ($2,129) + Research ($0) + Ownership ($0) = $2,129.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Stryker Corporation ($438).

Total Amount

$2,129

General + Research + Ownership

Payments

48

Total payment records

General Amount

$2,129

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-07-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210719000979INeurosurgeryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes223135$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes15963$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5654$0
99213Established patient office or other outpatient visit, 20-29 minutes5146$0
99215Established patient office or other outpatient visit, 40-54 minutes5148$0
View full utilization report →

Insurance plans in this area (ZIP 32886)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012266836View full group profile
NameSpecialtyState
-FL
U R O L O G YFL
G A S T R O E N T E R O L O G YFL
Thoracic SurgeryFL
Nurse PractitionerGA
Internal MedicineNY
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineFL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)FL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

What NPI should I save for DR. WISSAM MOHAMED ELFALLAL (D.O)?
Save NPI 1730594805 if you need a stable reference for DR. WISSAM MOHAMED ELFALLAL (D.O).
Is DR. WISSAM MOHAMED ELFALLAL (D.O) active in the national directory?
DR. WISSAM MOHAMED ELFALLAL (D.O)'s public NPI profile is in an active state.
What field does DR. WISSAM MOHAMED ELFALLAL (D.O) work in?
You can think of DR. WISSAM MOHAMED ELFALLAL (D.O) as practicing within Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. WISSAM MOHAMED ELFALLAL (D.O)?
We surface Orlando, Florida for DR. WISSAM MOHAMED ELFALLAL (D.O) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.